Cash in Transit Proposal

Period of Insurance from:

to:

Any one loss of money any cash and securities currency, checks, money orders and bank postal and financial bonds, postage safe trading units is depleted stamp mailings devices and set all outside working hours or resource in a safe coated or room fortified closed in places:

Any one loss of that money is placed outside the working hours in a closed or safe room closed in fortified places:

Any one loss of money at the residence of any partner or director or employee of a student insurance

With respect to a loss of one other money within the Arab Republic of Egypt

Please indicate the estimated amount of money to be transferred, in connection with work, during the next twelve months (expect non transferable and similar) documents and checks

Additional information on the applicant to provide insurance

What is the approximate distance between places and the bank / dealer banks with

This is done to move (for example, on foot or by car or by security company)?

How many adults who accompany staff during the transfer of money?

Give details of any other special precautions to take during the transfer of money

Is your money transfer to / from any other places than the bank? If yes please give full details

Have you ever suffered any losses with respect to any of the risks that would like insurance against it now? (if yes please give full details)

Have ever any insurance company refused to insurere or canceled or refusted to continue insurance?

yesno

Acknowledgment

I / We hereby that a maximum my / our knowledge and belief / believe the answers given to me / us in this application form is correct answers

the submission of this application does not need to enter into insurance, as the company does obligate you but it is agreed that this demand would be a basis of the contract if the issuance of the insurance policy

Name

Date